Related Experiment Video
Updated: Oct 4, 2025
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
9.0K
Ambulatory Pain Management in the Pediatric Patient Population
Jodi-Ann Oliver1, Lori-Ann Oliver1, Nitish Aggarwal2
1Department of Anesthesiology, Yale University, New Haven, CT, 06520, USA.
Current Pain and Headache Reports
|February 7, 2022
Summary
Pediatric ambulatory surgery patients often have significant postoperative pain. A multimodal pain management strategy, including non-pharmacological methods and nerve blocks, is essential for effective pain control in pediatric outpatient surgery.
Area of Science:
- Pediatric Anesthesiology
- Pain Management
- Ambulatory Surgery
Background:
- Pediatric outpatient surgery is increasingly common.
- Moderate to severe postoperative pain affects many pediatric patients.
- Current understanding of pain extent and management strategies is limited.
Purpose of the Study:
- To review scientific evidence on pain management after pediatric ambulatory surgery.
- To highlight the need for multimodal analgesia in this population.
- To address the inadequacy in current pediatric ambulatory pain management.
Main Methods:
- Review of scientific evidence on pain management.
- Analysis of multimodal analgesia approaches.
- Focus on non-pharmacological techniques, pharmacologics, and nerve blocks.
Main Results:
- A multimodal approach is recommended for ambulatory settings.
- Effective strategies include non-pharmacological methods, pharmacologics, and nerve blocks.
- Pain management remains suboptimal due to limited evidence-based practices.
Conclusions:
- Pediatric ambulatory pain management requires a multipronged approach.
- Multimodal analgesia is crucial to decrease postoperative pain.
- Improving evidence-based pain control is necessary for pediatric surgical patients.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
41
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
41
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
11
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
11
01:25Analgesia and Pain Management
891
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
891
01:26Peripheral Artery Disease IV: Nursing Management
83
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
83
01:15Opioid Analgesics: Synthetic and Semisynthetic Opioids
481
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
481
01:23Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
11
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
11